Individual
MRS. TAMMY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 LINWOOD BLVD, KANSAS CITY, MO 64128
(816) 861-4700
Mailing address
1927 HARVARD AVE, INDEPENDENCE, MO 64052
(816) 616-8707
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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